Cerebrospinal fluid β-glucocerebrosidase activity …

Cerebrospinal fluid β-glucocerebrosidase activity is reduced in dementia with lewy bodies

Section of Neurology, University of Perugia, Italy
IRCCS Fondazione S. Lucia, Rome, Italy
Section of Applied Biochemistry, University of Perugia, Italy
Dept. of Nephrology, Foligno S.Giovanni Battista Hospital, Perugia, Italy

Received 25 February 2009; 

accepted 7 March 2009. 

Available online 20 March 2009.
Abstract

The autophagy-lysosomal degradation pathway plays a role in the onset and progression of neurodegenerative diseases. Clinical and genetic studies indicate that mutations of β-glucocerebrosidase represent genetic risk factors for synucleinopathies, including Parkinson’s Disease (PD) and Dementia with Lewy Bodies (DLB). We recently found a decreased activity of lysosomal hydrolases, namely β-glucocerebrosidase, in cerebrospinal fluid of PD patients. We have thus measured the activity of these enzymes – α-mannosidase (EC 3.2.1.24), β-mannosidase (EC 3.2.1.25), β-glucocerebrosidase (EC 3.2.1.45), β-galactosidase (EC 3.2.1.23) and β-hexosaminidase (EC 3.2.1.52) – in cerebrospinal fluid of patients suffering from DLB, Alzheimer’s Disease (AD), Fronto-Temporal Dementia (FTD) and controls. Alpha-mannosidase activity showed a marked decrease across all the pathological groups as compared to controls. Conversely, β-glucocerebrosidase activity was selectively reduced in DLB, further suggesting that this enzyme might specifically be impaired in synucleinopathies.